{"id":"https://openalex.org/W2027624699","doi":"https://doi.org/10.1001/archinte.156.12.1337","title":"Mortality Risks Associated With Specific Clinical Manifestations of Systemic Lupus Erythematosus","display_name":"Mortality Risks Associated With Specific Clinical Manifestations of Systemic Lupus Erythematosus","publication_year":1996,"publication_date":"1996-06-24","ids":{"openalex":"https://openalex.org/W2027624699","doi":"https://doi.org/10.1001/archinte.156.12.1337","mag":"2027624699","pmid":"https://pubmed.ncbi.nlm.nih.gov/8651844"},"language":"en","primary_location":{"id":"doi:10.1001/archinte.156.12.1337","doi":"https://doi.org/10.1001/archinte.156.12.1337","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinte.156.12.1337","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052860753","display_name":"Michael M. Ward","orcid":"https://orcid.org/0000-0003-1857-9367","observed_orcids":["https://orcid.org/0000-0003-1857-9367"]},"institutions":[{"id":"https://openalex.org/I204866599","display_name":"VA Palo Alto Health Care System","ror":"https://ror.org/00nr17z89","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I204866599","https://openalex.org/I2799886695","https://openalex.org/I4210125474"]},{"id":"https://openalex.org/I2799886695","display_name":"Veterans Health Administration","ror":"https://ror.org/05eq41471","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"M. M. Ward","raw_affiliation_strings":["Medical Service, Palo Alto Veterans Affairs Medical Center, Calif., USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Service, Palo Alto Veterans Affairs Medical Center, Calif., USA","institution_ids":["https://openalex.org/I204866599","https://openalex.org/I2799886695"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5052860753"],"corresponding_institution_ids":["https://openalex.org/I204866599","https://openalex.org/I2799886695"],"apc_list":null,"apc_paid":null,"fwci":2.1753,"has_fulltext":false,"cited_by_count":174,"citation_normalized_percentile":{"value":0.8657675,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"156","issue":"12","first_page":"1337","last_page":"1337"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10308","display_name":"Systemic Lupus Erythematosus Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10308","display_name":"Systemic Lupus Erythematosus Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11330","display_name":"Systemic Sclerosis and Related Diseases","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/systemic-lupus-erythematosus","display_name":"systemic lupus erythematosus","score":1.0},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.7239999771118164},{"id":"https://openalex.org/keywords/lupus-nephritis","display_name":"lupus nephritis","score":0.746999979019165},{"id":"https://openalex.org/keywords/seizures","display_name":"seizures","score":0.9779999852180481},{"id":"https://openalex.org/keywords/thrombocytopenia","display_name":"thrombocytopenia","score":0.8939999938011169},{"id":"https://openalex.org/keywords/leukopenia","display_name":"leukopenia","score":0.9570000171661377},{"id":"https://openalex.org/keywords/hemolytic-anemia","display_name":"hemolytic anemia","score":0.9900000095367432},{"id":"https://openalex.org/keywords/serositis","display_name":"serositis","score":0.9070000052452087},{"id":"https://openalex.org/keywords/arthritis","display_name":"arthritis","score":0.7889999747276306},{"id":"https://openalex.org/keywords/psychosis","display_name":"psychosis","score":0.9739999771118164},{"id":"https://openalex.org/keywords/all-cause-mortality","display_name":"all-cause mortality","score":0.8619999885559082},{"id":"https://openalex.org/keywords/sociodemographic-differences","display_name":"sociodemographic differences","score":0.6039999723434448}],"concepts":[{"id":"https://openalex.org/C2776820843","wikidata":"https://www.wikidata.org/wiki/Q581349","display_name":"Serositis","level":3,"score":0.9396595358848572},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9027869701385498},{"id":"https://openalex.org/C2780873365","wikidata":"https://www.wikidata.org/wiki/Q496812","display_name":"Leukopenia","level":3,"score":0.7265667915344238},{"id":"https://openalex.org/C2779912601","wikidata":"https://www.wikidata.org/wiki/Q1621830","display_name":"Lupus nephritis","level":3,"score":0.6331012845039368},{"id":"https://openalex.org/C2777058396","wikidata":"https://www.wikidata.org/wiki/Q401402","display_name":"Nephritis","level":2,"score":0.5374807119369507},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5337691307067871},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.5094645619392395},{"id":"https://openalex.org/C2778248108","wikidata":"https://www.wikidata.org/wiki/Q5445","display_name":"Anemia","level":2,"score":0.49133625626564026},{"id":"https://openalex.org/C2777077863","wikidata":"https://www.wikidata.org/wiki/Q170990","display_name":"Arthritis","level":2,"score":0.3912389874458313},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.3558866083621979},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.33517828583717346},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.10531795024871826},{"id":"https://openalex.org/C2776694085","wikidata":"https://www.wikidata.org/wiki/Q974135","display_name":"Chemotherapy","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000743","descriptor_name":"Anemia, Hemolytic","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D000743","descriptor_name":"Anemia, Hemolytic","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D001168","descriptor_name":"Arthritis","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D001168","descriptor_name":"Arthritis","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D002423","descriptor_name":"Cause of Death","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007970","descriptor_name":"Leukopenia","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D007970","descriptor_name":"Leukopenia","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D008180","descriptor_name":"Lupus Erythematosus, Systemic","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D008180","descriptor_name":"Lupus Erythematosus, Systemic","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009393","descriptor_name":"Nephritis","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D009393","descriptor_name":"Nephritis","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D011618","descriptor_name":"Psychotic Disorders","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D011618","descriptor_name":"Psychotic Disorders","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D012306","descriptor_name":"Risk","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012640","descriptor_name":"Seizures","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D012640","descriptor_name":"Seizures","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D012700","descriptor_name":"Serositis","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D012700","descriptor_name":"Serositis","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D013921","descriptor_name":"Thrombocytopenia","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D013921","descriptor_name":"Thrombocytopenia","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D015993","descriptor_name":"Life Tables","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016016","descriptor_name":"Proportional Hazards Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1001/archinte.156.12.1337","doi":"https://doi.org/10.1001/archinte.156.12.1337","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinte.156.12.1337","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},{"id":"doi:10.1001/archinte.1996.00440110109015","doi":"https://doi.org/10.1001/archinte.1996.00440110109015","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinte.1996.00440110109015","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},{"id":"pmid:8651844","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8651844","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of internal medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":37,"referenced_works":["https://openalex.org/W150963359","https://openalex.org/W1551230211","https://openalex.org/W1580788756","https://openalex.org/W1979095334","https://openalex.org/W1979300931","https://openalex.org/W1981501313","https://openalex.org/W1981800567","https://openalex.org/W1994315648","https://openalex.org/W1996193675","https://openalex.org/W2011423819","https://openalex.org/W2012695581","https://openalex.org/W2021919631","https://openalex.org/W2022949578","https://openalex.org/W2026521896","https://openalex.org/W2036227784","https://openalex.org/W2041397324","https://openalex.org/W2047529989","https://openalex.org/W2051887998","https://openalex.org/W2055816380","https://openalex.org/W2063825247","https://openalex.org/W2065219238","https://openalex.org/W2089581165","https://openalex.org/W2091484618","https://openalex.org/W2096198435","https://openalex.org/W2109976077","https://openalex.org/W2131429833","https://openalex.org/W2133057405","https://openalex.org/W2146203649","https://openalex.org/W2246585239","https://openalex.org/W2286962886","https://openalex.org/W2339588204","https://openalex.org/W2409344276","https://openalex.org/W2411526385","https://openalex.org/W2411948708","https://openalex.org/W2416370846","https://openalex.org/W2416706105","https://openalex.org/W4302549441"],"related_works":["https://openalex.org/W2031291844","https://openalex.org/W7133481836","https://openalex.org/W2535471732","https://openalex.org/W2088340307","https://openalex.org/W2549697840","https://openalex.org/W2461011668","https://openalex.org/W60402881","https://openalex.org/W6922262604","https://openalex.org/W2107871522","https://openalex.org/W2922101400"],"abstract_inverted_index":{"BACKGROUND:":[0],"Mortality":[1],"in":[2,14,70,166,196],"patients":[3,38,87,197],"with":[4,25,39,63,110,141,149,154,168,198],"systemic":[5],"lupus":[6],"erythematosus":[7],"(SLE)":[8],"is":[9],"often":[10],"related":[11],"to":[12],"disease":[13],"particular":[15],"organ":[16],"systems.":[17],"We":[18],"examined":[19],"the":[20,50,98,115,192,205],"risks":[21,35],"of":[22,29,52,73,81,83,100,117,164,186,194,207],"mortality":[23,66,69],"associated":[24,109,140,153],"8":[26],"clinical":[27,170],"manifestations":[28,171],"SLE":[30,93,199],"and":[31,61,67,106,134,146,188],"determined":[32,49],"whether":[33],"these":[34,169],"differed":[36],"among":[37,175],"different":[40],"sociodemographic":[41],"characteristics.":[42],"METHODS:":[43],"Using":[44],"life":[45],"table":[46],"analysis,":[47],"we":[48],"associations":[51],"hemolytic":[53,101],"anemia,":[54,102],"leukopenia,":[55],"thrombocytopenia,":[56,150],"arthritis,":[57],"serositis,":[58,103],"nephritis,":[59,104],"psychosis,":[60,105],"seizures":[62,107,135,189],"both":[64],"all-cause":[65,112],"SLE-related":[68,156,208],"a":[71,78],"cohort":[72],"408":[74],"patients.":[75],"RESULTS:":[76],"Over":[77],"median":[79],"duration":[80],"follow-up":[82],"11":[84],"years,":[85],"144":[86],"died;":[88],"78":[89],"deaths":[90],"(54%)":[91],"were":[92,139,151],"related.":[94],"In":[95,121],"univariate":[96],"analyses,":[97],"presence":[99,116,185],"was":[108,119,160,212],"greater":[111,155],"mortality,":[113,157,209],"while":[114,158,210],"arthritis":[118],"protective.":[120,161,213],"multivariate":[122],"analyses":[123],"that":[124],"controlled":[125],"for":[126],"patient":[127,176],"demographic":[128],"characteristics,":[129],"nephritis":[130,187],"(relative":[131,136],"risk,":[132,137],"2.34)":[133],"1.77)":[138],"poorer":[142],"overall":[143],"survival.":[144],"Nephritis":[145],"seizures,":[147],"along":[148],"also":[152,203],"leukopenia":[159,211],"The":[162,184],"risk":[163,193,206],"death":[165,195],"association":[167],"did":[172],"not":[173],"differ":[174],"age,":[177],"sex,":[178],"race,":[179],"or":[180],"socioeconomic":[181],"subgroups.":[182],"CONCLUSIONS:":[183],"each":[190],"increased":[191,204],"approximately":[200],"2-fold.":[201],"Thrombocytopenia":[202]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":7},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":6},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":7},{"year":2012,"cited_by_count":8}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
